Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Boston, MA: $84.37

Avg. Paid

$84.37

Range

$0.00 – $436.16

Total Claims

5,683,879

Providers

4,776

Typical Payment Range

Typical Medicaid Office Visit payments fall between $29.28 and $67.92 per claim (median: $46.55). The top 10% of payments exceed $95.29.

Based on per-provider averages across all Medicaid claims in this category.

A standard doctor's office visit for evaluation and management of medical conditions. Includes new patient visits, follow-up visits, and consultations.

Understanding these costs

The amounts shown are Medicaid reimbursement rates — what state Medicaid programs paid providers per claim. Medicaid typically pays well below private insurance rates and out-of-pocket prices. Use this data to compare relative costs between providers, not as a price estimate for privately insured or self-pay patients.

Providers Offering Office Visit in Boston, MA

Provider	Avg. Paid	Claims	Patients
Catherine C Chen 300 Longwood Ave Fegan 3	$58.00	12	12
Ron I Riesenburger 800 Washington Street Box 178	$27.37	12	12
Krystin Ojala 55 Fruit St	$25.67	12	12
Allan Steven Nadel 55 Fruit St	$16.81	12	12
Thomas Adam Abrams 44 Binney St	$11.44	12	12
Maryanne Makredes Senna 50 Staniford St	$42.94	12	12
Paul Mathew 800 Washington St	$32.40	12	12
Manisha Thakuria 221 Longwood Ave	$49.47	12	12
Young Bae Kim 800 Washington St	$29.37	12	12
Mark C. Wyers 110 Francis St	$23.67	12	12
Sammantha Boaz 1601 Washington St	$101.67	12	12
Noyan A Gokce 732 Harrison Ave	$37.81	12	12
Lynn Janet Kepnes 45 Francis St	$33.40	12	12
Elizabeth Blume 300 Longwood Ave	$76.26	12	12
The Commonwealth Of Massachusetts 305 South St	$227.67	12	12
Rachel Courtney Placzek 75 Francis St	$38.42	12	12
Robert C Stanton 1 Joslin Pl	$24.03	12	12
Cailin Coleman Delaney Massachusetts General Hospital 55 Fruit St.	$10.27	12	12
Angela Valera Turalba 243 Charles St	$149.49	12	12
Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc 330 Brookline Ave	$22.01	12	12
Kenneth M Grundfast 820 Harrison Ave	$11.46	12	12
Farhat N Homsy 125 Parker Hill Ave	$52.46	12	12
Stephanie Wrobel Goldberg 800 Washington St	$83.86	12	12
Dejan Juric Massachusetts General Hospital	$37.92	12	12
Lora M. Pixley 300 Longwood Ave	$47.72	12	12
Joshua M Kosowsky 75 Francis Street	$55.66	12	12
Alyssa Halper 55 Fruit St	$84.21	12	12
Keith P Blaquiere 55 Fruit St	$11.93	12	12
Jose Caro 7 Haviland St	$33.32	12	12
Katherine Lynch 330 Brookline Ave	$64.30	12	12
David J Salant 725 Albany Street	$29.36	12	12
Eileen Clare Reilly 75 Fenwood Rd	$25.61	12	12
Ethan S Brackett 1340 Boylston St	$139.89	12	12
Indu Reddy 75 Francis St	$18.03	12	12
Juan C Pallais 55 Fruit St	$24.54	12	12
Susan Eileen White 850 Harrison Ave	$45.73	12	12
Scott Lewis Schissel 133 Brookline Ave Fl 5	$31.33	12	12
I Cheng Ho 75 Francis Street	$38.93	12	12
Dayna Mcgill 55 Fruit St # Street6C	$54.34	12	12
Carrie Lynn Heincelman 55 Fruit St	$61.87	12	12
Rory Brett Weiner 55 Fruit Street	$35.92	12	12
Colin A Sieff 300 Longwood Ave	$93.38	12	12
Katherine K Hsu 850 Harrison Ave	$50.19	12	12
Aferdita Spahillari 330 Brookline Ave	$46.16	12	12
Paul Esteso 300 Longwood Ave	$105.40	12	12
Katherine M Berg 330 Brookline Ave	$28.58	12	12
Prathima Nandivada 300 Longwood Ave	$38.94	12	12
Rachel L Rosen 300 Longwood Ave	$7.02	12	12
Cory Shamar Henderson 732 Harrison Ave Fl Preston3	$34.78	12	12
Peter Howard Stone 75 Francis St	$23.90	12	12

What to Expect: Office Visit

A typical office visit lasts 15-45 minutes depending on complexity. Your doctor will review your medical history, discuss symptoms, perform a physical exam, and discuss treatment options. You may receive prescriptions, referrals, or orders for diagnostic tests. Follow-up visits are usually shorter than new patient visits.

Cost Components

National average Medicaid payment per billing code. Individual rates vary by provider and state.

Code	Description	Avg. Paid	Claims	Providers
99213	Office visit established mod	$43.18	764,306,590	487,602
99214	Office visit established mod-hi	$59.53	502,480,931	466,856
99212	Office visit established low	$41.69	92,299,154	127,462
99203	Office visit new moderate	$67.55	47,756,882	127,334
99211	Office visit established minor	$39.24	44,127,221	47,748
99204	Office visit new moderate-high	$92.03	32,379,031	111,937
99215	Office visit established high	$93.58	29,619,773	74,725
99202	Office visit new low	$58.57	9,372,712	35,486
99205	Office visit new high	$136.10	3,665,382	19,737
99244	Office consultation mod-high	$118.25	3,405,681	11,884
99243	Office consultation moderate	$78.55	2,585,480	8,432
99245	Office consultation high	$132.29	645,300	3,046
99242	Office consultation low	$58.27	483,445	1,980
99241	Office consultation brief	$66.15	295,664	712

These are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.

Frequently Asked Questions

How much does a Office Visit cost in Boston, MA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Boston, MA is $84.37 per claim, based on 5,683,879 claims from 4776 providers. Typical payments fall between $29.28 and $67.92. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.

How many providers offer Office Visit in Boston, MA?

There are 4776 Medicaid providers offering Office Visit related services in Boston, MA according to public payment data.

What is the price range for Office Visit in Boston, MA?

Medicaid reimbursement for Office Visit in Boston, MA ranges from $0.00 to $436.16 per claim, with an average of $84.37. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Boston, MA: $84.37

Providers Offering Office Visit in Boston, MA

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

Brooklyn, NY

New York, NY

Los Angeles, CA

Chicago, IL

Bronx, NY

Phoenix, AZ

Houston, TX

Las Vegas, NV

Other Procedures in Boston, MA

Blood Work & Lab Tests

Emergency Room Visit

X-Ray

Dental Cleaning & Exam

EKG / ECG (Electrocardiogram)

Psychiatric Evaluation

Vaccines & Immunizations

Case Management Services